The study essentially investigated the influence of performance appraisal (PA) on staff performance at Trauma and Ortthopaedic Specialist Hospital. The study adopted the descriptive survey which adopted the mixed method designs. The sample size was 245 permanent staff which was made up of both appraisers and appraisees who was selected purposively. The data was collected using questionnaire, checklist and confirmatory interview guide. Inferential statistics such as Pearson Product moment correlation and hierarchical linear multiple regression analysis was used in analysing the data. The findings of the study revealed that PA was an annual activity which was practiced at Trauma and Ortthopaedic Specialist Hospital (TOSH) and that staff were aware of the system but lacked some level of understanding on how it operates fully. This was due to lack of orientation, training and refresher training for the staff. The study recommended that management of Trauma and Ortthopaedic Specialist should put mechanisms in place to capture all staff and to ensure that staff maintain positive attitude towards PA.
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